In the study benefits of using mobile phone assisted remote patient monitoring including self-measurements of blood pressure, heart rate and weight as well as monitoring of personal health status are investigated in the care of heart failure patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
94
Telemonitoring group was given a home-care package including a weight scale, a blood pressure meter, a mobile phone and self-care instructions. The measurements taken at home to be uploaded were: diastolic and systolic blood pressure, pulse, body weight and an assessment of symptoms. The symptom assessment concerned the patient's feelings of dizziness, dyspnea, palpitation, weakness and, oedema. Patients were also asked to evaluate their overall condition- whether their condition had deteriorated, improved or remained unchanged. The patients were advised to carry out and report the measurements together with the self-assessment once a week. The responsible nurse followed patients' status and the data once a week or more frequently if needed. Based on the reported measurements, the nurse could invite the patient for a control visit. In case a patient did not make self-measurements as planned , the nurse contacted the patient and reminded him/ her to continue with monitoring
VTT Technical Research Centre of Finland
Espoo, Finland
Number of HF-related Hospital Days
Number of heart failure related hospital days
Time frame: From baseline until the end of the study at six months
Death
Death from any cause
Time frame: From baseline until the end of the study at six months
Heart Transplant
Heart transplant operation or listing for transplant operation
Time frame: From baseline until the end of the study at six months
P-proBNP
Change in plasma concentration of brain natriuretic peptide propeptide from baseline to the end of the study.
Time frame: From baseline until the end of the study at six months
EHFSBS (European Heart Failure Self-Care Behaviour Scale ) Scores
Change in self-care behaviour measured by the European Heart Failure Self-Care Behaviour Scale (EHFSBS). EHFSBS is a 12-item self-administered questionnaire specifically designed and tested for heart failure patients including statements on self-care behaviour essential in the care of HF. The statements are scored from one to five. The lower the score, the better the performance in self-care. The summary score is analysed.
Time frame: From baseline until the end of the study at six months
Left Ventricular Ejection Fraction
Change in left ventricular ejection fraction from baseline until the end of the study
Time frame: From baseline until the end of the study at six months
Utilization of Health Care Resources
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Number of visits to nurse's reception
Time frame: From baseline until the end of the study at six months